Joshua Koyejo (NPI# 1700268646, PAC ID# 7113229527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1700268646 |
| PAC ID by PECOS | 7113229527 |
| Professional Enrollment ID | I20180720000307 |
| Full Name | Joshua Koyejo |
| Organization Legal Name | BRIDGETON EMERGENCY GROUP LLC |
| Address |
12303 De Paul Dr Bridgeton MO 63044-2588 |
| Phone Number | 3143446360 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193978948 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 12303 De Paul Dr, Bridgeton, MO 63044-2588 | 3143446360 | BRIDGETON EMERGENCY GROUP LLC |
| 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 3146535000 | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Organization Legal Name | BRIDGETON EMERGENCY GROUP LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harlan D Hodges | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Cinnamon D Michalik | Nurse Practitioner | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Neal S Patel | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| David Anthony Calcara | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Semeon I Krits | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Matthew L Cary | Nurse Practitioner | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Craig F Erbach | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Magdalena Bokiej | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Brian Louis Lebo | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Donna Jo Harmon | Nurse Practitioner | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Street Address |
12303 DE PAUL DR |
| City | BRIDGETON |
| State | MO |
| Zip | 63044-2588 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Burt Humburg | Internal Medicine | Hospitalist Medicine Physicians of Missouri - Bridgeton, Inc. | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Alicia M Ferguson | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Megan C Mccarthy | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Gary D Clark | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Harlan D Hodges | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Cinnamon D Michalik | Nurse Practitioner | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Lisa C Boyce | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Fatima A Khan | Internal Medicine | Hospitalist Medicine Physicians of Missouri - Bridgeton, Inc. | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Jessica E Lewis | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Neal S Patel | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adnan Y Siddiqui | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Duong T Ho | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Molly F Caldwell Mcmillan | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Shahzad Hasan | Internal Medicine | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Phillip G Zinser | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Jeanalyn S Guthrie | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Julie A Shapiro | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Manpreet Kaur Budhan | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Hassan R Jafri | Physical Therapy | 12800 Boenker Ln, Bridgeton, MO 63044-2438 | |
| Timothy R Knuuttila | Chiropractic | 12258 St Charles Rock Rd, Bridgeton, MO 63044-2501 | |
| Find all physicians in zip 63044 | |||
| City | BRIDGETON |
| Zip Code | 63044 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BRIDGETON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Joshua Koyejo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.